Representing Patient Industry and Occupation

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Comment

Proposed Addition of Work Information to the ISA

Subject: Proposed Addition of Work Information to the Interoperability Standards Advisory (ISA) Submitted by: The National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). Work Information has been proposed as a new Data Class to be included in the U.S. Core Data for Interoperability (USCDI). Work Information is defined as a framework for a person’s self-reported, structured and standardized work history that has broad applicability to healthcare as part of the medical record; it is suitable for many use cases supporting patient care, population health, and public health. NIOSH proposes adding a Work Information Vocabulary/Code Set/Terminology section to the ISA. Currently, the only related section is for “Industry and Occupation.” Since Work Information includes additional Data Elements, NIOSH proposes replacing that section as described in the attached document. The proposal includes all of the Work Information vocabulary that was included in the USCDI application and clarifies the use of certain Occupation and Industry value sets. NIOSH also proposes adding a Work Information (Social History) Content/Structure section to the ISA as described in the attached document. Currently there is no similar section. The proposal would move the structure specifications from the current Industry and Occupation Vocabulary section to this new section.

ISA_WorkInformation_1120_final_1.docx